Warren Elementary Confidential Reporting Form
This form provides the opportunity for Warren School District students, staff, or community members to report concerns or incidents anonymously, ensuring their identity is protected while providing vital information to school authorities to address potential issues like bullying, harassment, safety concerns, or mental health issues. You do have the option to provide your identity if you choose to do so. 
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Please select the category your report or suggestion falls under: *
Date and Time of Incident *
MM
/
DD
/
YYYY
Incident Location on Campus *
If you choose OTHER in the question above, please describe the location.
Have you reported this to another adult or campus employee prior to filling out this form? If yes, please include that person's name below. 
Please describe the incident, including a detailed account of what happened, including names of individuals involved if known.  *
Please provide information about who witnessed this incident. ( if applicable) *
How many times has this situation occurred?  *
If this situation has occurred more than once, please provide additional dates below. 
Optional Contact Information:
If you would like to be contacted regarding this report, please provide your name and contact information. This is optional. 
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